Kavanaugh, Kelly

Kavanaugh, Kelly is an individual health care provider with primary practice located at 710A Leona St , Elyria OH 44035-2349. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kavanaugh, Kelly can be contacted via phone (440) 324-0092.

Contact Information

Primary practice address
710A Leona St Elyria OH 44035-2349
Phone: (440) 324-0092
Fax: (440) 324-0093
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17368-NP Ohio

Profile Details

NPI number 1609257005
LBN Legal business name Kavanaugh, Kelly
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2015
Last updated May 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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